Anh My Phung O.D.

NPI 1407130644 - Optometrist - 152W00000X

NPI Details
NPI 1407130644
Gender Female
Enumeration Date 10/06/2011
Last Updated 10/06/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1005 LYNDHURST WAY SE
CONYERS GA, 30013-2999, US
Phone (770) 891-0683
Fax
Business Location
1005 LYNDHURST WAY SE
CONYERS GA, 30013-2999, US
Phone (770) 891-0683
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Georgia
License Number OPT002670
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According to our database, Ms. Anh My Phung O.D. NPI is 1407130644, taxonomy code is 152W00000X and license number is OPT002670, license state is located at Georgia. Anh My Phung O.D. physically located at 1005 Lyndhurst Way Se, Conyers GA, 30013-2999. NPI Number Anh My Phung O.D. has the Individual type.

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1407130644 NPI number is provided on an as is basis without warranty of any kind. 1407130644 is maintained by the National Plan & Provider Enumeration System. The contents of Anh My Phung O.D. are for informational purposes only.